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Pre-Withdrawal Form

This form is to be completed by all students who wish to disenroll between move-in day/arrival on campus and before classes have started.

SID Number*
This is your "A" number - a copy of this number was sent to your cadet email.
Cadet Full Name*
First Middle Last Suffix
Cadet Company*
Please Select All that Apply*
- I am in the Early Commissioning Program
- I am in the Service Academy Program
- I am an athlete
- I am in the MMI Band
- None of the above
Please Select Which Sport*
- Basketball
- Baseball
- Cross Country
- Softball
- Tennis
- Track
Digital Signature*
Date*
MM slash DD slash YYYY
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1101 Washington St., Marion, AL 36756 800-664-1842

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